Organization Active NPI

Stephanie Coleman, Mental Health Professional, LLC

  • Professional Counselor
  • North Charleston, SC
National Provider Identifier
1730995622
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
STEPHANIE COLEMAN, MENTAL HEALTH PROFESSIONAL, LLC
Practice address
8570 Rivers Ave Ste 161
North Charleston, SC 29406-9893
Phone
(678) 850-4142
Fax
(844) 991-1827
NPI assigned
Dec 5, 2024
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Stephanie Coleman, LPCNPI 1912587296
Title
Owner
Phone
(678) 850-4142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

8570 Rivers Ave Ste 161
North Charleston, SC 29406-9893

Mailing address

100 Dasharon LN
Goose Creek, SC 29445-7298
Phone (678) 850-4142

Other practice location 1

4000 Faber Place Dr # 315
Charleston, SC 29405-8585
Phone (678) 850-4142

Other identifiers 2

IdentifierTypeStateIssuer
PC3002MedicaidSC
PG2833MedicaidSC

National Provider Directory

National Provider Directory

Locations

4000 Faber Place Dr
#315
Charleston, SC 29405
Phone (678) 850-4142

8570 Rivers Ave
Ste 161
North Charleston, SC 29406
Phone (678) 850-4142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1730995622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DASHARON LN",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457298",
            "telephone_number": "678-850-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 RIVERS AVE STE 161",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069893",
            "telephone_number": "678-850-4142",
            "fax_number": "844-991-1827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Faber Place Dr # 315",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294058585",
            "country_code": "US",
            "telephone_number": "678-850-4142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHANIE COLEMAN, MENTAL HEALTH PROFESSIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-850-4142",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC3002",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG2833",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.